| Inferior alveolar nerve impairment after mandibular sagittal split osteotomy: an analysis of spontaneous recovery patterns observed in 60 patients. | |
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MedLine Citation:
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PMID: 12000896 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Sensory impairment after bilateral sagittal split osteotomy (BSSO) due to inferior alveolar nerve (IAN) lesions may be either temporary or permanent and either complete or partial. The aim of this prospective study is to evaluate, by means of objective sensory testing, IAN sensory disturbances development in patients who underwent BSSO.IAN sensory disturbances development at the first week, fourth week, sixth month, and twelfth month of follow-up review in a group of 60 patients who underwent BSSO from January 1, 1998, to July 31, 1999, at the Maxillofacial Surgery Department of the "La Sapienza" University of Rome. The 60 patients were examined in the presurgical period; the IAN functionality regarding thermal sensibility, nociception, and two-point discrimination, was assessed at follow-up in 120 sides. In our study the highest rate of spontaneous recovery of the entire IAN functionality was observed at the sixth month. This finding witnesses how neuropraxia and axonotmesis give a spontaneous recovery that most frequently occurs within 6 months from surgery, independently from age and sex of the patient. The persistence of anesthesia over 12 months could be a sign of neurotmesis. |
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Authors:
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Roberto Becelli; Giancarlo Renzi; Andrea Carboni; Giulio Cerulli; Giulio Gasparini |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of craniofacial surgery Volume: 13 ISSN: 1049-2275 ISO Abbreviation: J Craniofac Surg Publication Date: 2002 Mar |
Date Detail:
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Created Date: 2002-05-09 Completed Date: 2002-08-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9010410 Medline TA: J Craniofac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 315-20 Citation Subset: D |
Affiliation:
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Teaching of Maxillofacial Surgery, La Sapienza University, Rome, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cranial Nerve Injuries / etiology* Discrimination (Psychology) Female Humans Male Mandible / surgery* Mandibular Nerve / injuries* Nerve Regeneration Oral Surgical Procedures / adverse effects* Pain Measurement Prospective Studies Somatosensory Disorders / etiology* Temperature Time Factors |
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